Fields, Mark William

Fields, Mark William is an individual health care provider with primary practice located at 11211 Se 82Nd Ave Ste O , Happy Valley OR 97086-7641. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Fields, Mark William can be contacted via phone (503) 722-6200.

Contact Information

Primary practice address
11211 Se 82Nd Ave Ste O Happy Valley OR 97086-7641
Phone: (503) 722-6200
Fax: (503) 722-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1386151041
LBN Legal business name Fields, Mark William
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2018
Last updated Feb 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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